Provider Demographics
NPI:1235567652
Name:DANNER-TERLOUW, JOHNNA (ARNP)
Entity Type:Individual
Prefix:
First Name:JOHNNA
Middle Name:
Last Name:DANNER-TERLOUW
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 LAUREL ST STE 2350
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-3026
Mailing Address - Country:US
Mailing Address - Phone:152-804-7005
Mailing Address - Fax:515-280-4701
Practice Address - Street 1:411 LAUREL ST STE 2350
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3026
Practice Address - Country:US
Practice Address - Phone:515-280-4700
Practice Address - Fax:152-804-7015
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA115080163W00000X
IL041375432163W00000X
IAJ115080363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse